Noise in hospitals as a strain for the medical staff
Noise in hospitals as a strain for the medical staff
复制标题
医院噪音给医护人员造成压力
DOI：
10.1121/1.4801032
复制
发表时间：
2013
影响因子：
2.4
通讯作者：
G. Notbohm
中科院分区：
文献类型：
--
作者：
S. Siegmann;G. Notbohm
医院噪声的研究主要集中在对患者的有害影响上。但至少在重症监护病房和手术室，工作人员在相当长的一段时间内也暴露在高水平的噪音中。文献中的证据在这里进行了总结。在持续30分钟的操作过程中。报告的平均LEQ值在58到72分贝(A)之间，最大值超过105分贝(A)。急诊科也报告了类似的噪音水平。由于在这些情况下需要集中注意力、准确沟通和迅速作出决定，因此必须将音质环境视为工作人员的巨大压力和工作失误的潜在风险。但在重症监护病房的正常昼夜轮班期间，噪音也被医务人员提到是一种重要的干扰。最令人不安的是来自电话和其他通讯工具的噪音，以及来自医疗设备的信号和声音。问卷调查结果显示，80%至91%的员工报告在日常工作中受到噪音的负面影响。文献中提出了医院降噪和预防噪声的各种措施，强调工作人员在这类项目中起着决定性的作用。
Noise research in hospitals focuses mainly on the harmful effects on patients. But at least in intensive care units and operation theatres, also the staff is exposed to high levels of noise during considerable portions of working time. Evidence from literature is summarized here. During operation sessions lasting from 30 min. to several hours, reported average Leq values range from 58 to 72 dB(A) with maximum levels above 105 dB(A). Similar noise levels are reported from emergency departments. As concentration, precise communication and fast decisions are necessary in these situations, the acoustical environment has to be considered an enormous strain for the staff and a potential risk with regard to faults at work. But also during normal day and night shifts in intensive care units, noise is mentioned as an important disturbance by the medical staff. Most disturbing are noises from telephones and other communication tools and the signals and sounds from medical devices. Questionnaire surveys result in 80 to 91 % of the staff reporting negative effects of noise in their daily work. A variety of measures for noise reduction and prevention in hospitals is suggested in literature emphasizing that the staff plays a decisive role in such projects.